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1154944130
STEPHANIE NICHELLE WHITE
BERKELEY, CA
NPI
1154944130
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Other Name
ELLE BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-25
Last Update Date
2020-05-25
Business Address
STEPHANIE NICHELLE WHITE
2712 TELEGRAPH AVE
BERKELEY, CA 94705-1117
Phone number: 510-548-8283
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Mailing Address
STEPHANIE NICHELLE WHITE
2908 55TH AVE
OAKLAND, CA 94605-1110
Phone number: 510-866-5259
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